| Jacqueline Young Mckillop, | |
|
174 Oakdale Rd, Johnson City, NY 13790-1049 | |
| (607) 729-0044 | |
| (607) 729-9994 |
| Full Name | Jacqueline Young Mckillop |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 174 Oakdale Rd, Johnson City, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548397698 | NPI | - | NPPES |
| 00355344 | Medicaid | NY | |
| BA0135 | Other | PTAN | |
| 11716304 | Other | NY | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 014468-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Young Mckillop, 174 Oakdale Rd, Johnson City, NY 13790-1049 Ph: (607) 729-0044 | Jacqueline Young Mckillop, 174 Oakdale Rd, Johnson City, NY 13790-1049 Ph: (607) 729-0044 |
Zachary Ronald Secor, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6000 | |
Samantha Louise Eckhardt, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 174 Oakdale Rd, Johnson City, NY 13790 Phone: 607-729-0044 | |
Mrs. Deborah Elizabeth Orlando, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Broad St, Johnson City, NY 13790 Phone: 607-798-7117 | |
Tammi Holtslander Camp, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 24 Cherry St, Ot Pt Department, Johnson City, NY 13790 Phone: 607-723-8313 | |
Colleen Magacs, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 286 Deyo Hill Rd, Johnson City, NY 13790 Phone: 607-798-7818 | |
Mrs. Rebecca Lynn Caudrillier, MS, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6033 Fax: 607-763-6853 | |
Cathy J Forde, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6033 |